The tube noise with a sprague scope makes me crazy. I'll stay with my Littmann.
Don't be afraid, the diaphragm will be fine. They are also replaceable if damaged. It wouldn't hurt to take the scope apart to clean it thoroughly once a week as well.I got a Littmann Lightweight for my Basic program. It's pretty awesome! Mostly use it for blood pressures, but it's good for heart/lung/etc. Sounds as well.
I'm curious, how do you all clean your diaphragms? I'm terrified that alcohol wipes will damage mine
This.My littman select was great for medic school and when I was working IFT.
I now have the master cardiology and would never go back. I can hear a blood pressure while going 70mph with the sirens on. And lung sounds are crystal clear.
A relatively FLAT headed scope (e.g. the Master Classic) sits nicely in a uniform pant dump pocket. But that was my point. Even a two-headed scope gets pokey, and with three heads I suspect it'd stay in my closet.And holy hell you must have big pockets. Must just be personal preference, but I couldn't stand that kind of oddly shaped, bulky thing in a pocket. I hate when I have to put my PAGER in my pocket so I can ride my motorcycle to work. But that is, in all fairness, basically everyone's complaint about a scope around the neck, too, so whatever works.
I use an older Littmann electronic because I need to hear well in the back of a moving ambulance...which is not unlike being inside a drum being driven down the road. I have an acoustic Littmann which is fine and an Omrom (spelling?) which is almost as good, but the electronic is what I go to. I got it cheaply because it needed a new diaphragm. I am told that the Chinese electronic ones are good but I have not tried them.Can anyone please tell me the best stethoscope I should purchase. I need one before class starts? What else is good to have, besides a pen and notebook.
Thanks so much and Happy Holiday everyone!! :unsure:
Large? No. 2 confirmed, a few more possible? yes. Let's just say most of Seattle fire doesn't really understand blunt trauma induced pneumothorax without an unstable rib fx. I don't consider myself an exceptional EMT, and a patient with the beginnings of a pneumo is really not hard to spot. I did have a patient with an unstable rib fx after t-boning a fire truck a few weeks ago, and he was in the beginnings of a tension pneumo, to my ears his lower right lobe sounded diminished, but he could speak in full sentences and wasn't complaining of trouble breathing. Medic intercept confirmed the diminished lung sounds and a few days later I saw them and they confirmed he had an ongoing pneumo after a CHX.Are you saying you've been able to appreciate a large number of subtle pneumothoraces due to diminished lung sounds? That's a pretty impressive catch.
I recently switched from a Littmann Classic II (which I slammed repeatedly in the door, thought the seatbelt was stuck oops) to a Master Cardiology that a friend gave me once he retired. I have had none of the problems you describe throughout this thread. I cannot stand how uncomfortable those sprauges are, and the tubes hitting each other is also rather annoying. To insinuate that I'll be relying on the "needle bounce" because I don't have a dual head stethoscope is silly. I also do not loan my stethoscope to anyone but my partner, that's kind of icky.I suggest EVERYONE own an Omron Sprague Rappaport. You may like your littman's bling, but the omron is a better scope in every way but weight and overall build quality (it doesn't fall apart, it just doesn't have the fit and finish of Littman. But what can you expect for $12.50) And you won't have to worry about loaning it out or losing it, because it's DIRT cheap. If you want to buy a middle of the road littman like the master classic, don't even bother, the Omron is far, far superior, and if you got a little cash for christmas from your dad, like I did, skip the high end littman and go Harvey DLX (they offer a 2 head version as well that is the exact same price as the cardio 3, but I like the weirdness of the 3, and having 3 heads has actually been nice) and you'll soon understand why I say this. Also, it looks cooler and doesn't make nurses turn their noses up at you for being an EMT with a "cardiologist" scope because not even they have any idea what the Harvey DLX is. You may have a cardiologist try to swipe it though! Mine stays on my neck all the time for this reason.